| NPI | 1326300500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH RN.331504) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN152296) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |